HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PPLIC,,A�/BLE INFO
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BE COMPLETED FOR APPLICATION TO BE ACCEPTED
_ vjcmko) Permit Number: _
BY
Lucie County
Building Permit Application
1307-OF/5
JUL 3 0 2018
ST. Lucie County, Pern
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO
OSED IMPROVEMENT LOCATIO'.N
Addr ss: HJY 3 Ne/ll--es BW -,:;,Qi',➢ Lucie GQ'?]y �-
LegalDescription: ia% e`g A rA Tn( A cc-n X n SC,C�fbh //
ko,/-Q shcr�C' /� C6MMI) r► /e.,� e„ s ®r 3'z!83-131
Site
y Tax ID #: 7J V L-
n Name:
Name:
- o&2-9— oeo
ks Front- /0 /� Back: S Right Side: 0 Left Side: V
Lot No.y/-/3
Block No.
a6l is c/,l roo¢' w iv`;1 New mele1
//ew peel 75A-c�kcLn�ei /ay,�e Q��ui l Pxtsv��� f 'o/yw'Od
Code 5-10- // /i tw cl11110 edge
onal work to be
nertormed
Gas Tank
undertnis permit —cnecK all
[]Gas Piping
apply:
Shutters
Q Windows/Doors
HVAC
_
Electric
Plumbing
OSprinklers
Generator
Roof
-
Roof pitch
Total Sq. Ft of Construction: r�
Cost f Construction: $ /200
OD
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OW
ER%LESSEE
CONTRACTOR
Nam
/no".k
Name: 6w,7e,- 6uI ei
ss: /93 / Nle 1""I'-Q apL
Addr
Company:
C'ng-e,7 Aeadi State:`
City:
Address:
Zip
de: 31/g67 Fax:
City: State:
Pho
No. ?
Zip Code: Fax:
il: CtxVAc�7F 00r7 6 6/r/ee7% • co,"Phone
E-M
N
fee simple Title Holder on next page ( if different
Fill i
E-Mail:
from
he Owner listed above)
State or County License:
If valoo of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU
PLEMENTAL CONSTRUCTION LIEN- LAW IN'FORMATIO'N
DE
IGNER/ENGINEER:. _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Na (e:
Ad
Cit
Name:
Address:
City: State:
ress:
State:
Zip
Phone
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
e:
Name:
ress:
Ad
City
Address:
City:
Phone:
Zip: Phone:
Zip:
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert FV that no work or installation has commenced prior to the issuance of a permit.
St. Lu fie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f9 lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAF 14ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo a the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comii encine work sir recording vour Notice of Commencement.
Sign0ttfrerofOwner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STq E OF FLORIDA STATE OF FLORIDA
CO II NTY OF�COUNTY OF
The rgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi day of LA_ 20a by this day of 20_ by
k I� 6 Nv— T—n . -�C_�.(VK �a�,nt,v-, S
Name of person making statement ` , Name of person making statement
Pers I nally Known OR Produced Identification Personally Known OR Produced Identification
T �of Identificatio Type of Identification
YpPro ed Produced
u ic- State o F[ (Signature of Notary Public- State of Florida )
Corn nission No. A GorM aP Commission No. (Seal)
Match 1e, 2021
« Conrrraa10n Na C4 SW
RE IEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATJ
RECEIVED (�o, jf S
EC
COMIPLETED
Rev.W/17
�v`�'a Nettles Island Inc., A Condominium
98oi South Ocean Drive, Jensen Beach, FL 34957
(772) 229-2930
Fax: (772) 229-9901
.O 1�A Email: NIBoard(@comcast.nef
W W W. NettlesIslandCon4o.com
y 13, 2018
Hutchins #443
trine Hutchins
NE Lake Place
n Beach, FL 34957
Replace Roof & Windows - Lot 443
Association approves of the roof and window replacement as listed on the documents
pitted with this request.
adhere to all Nettles Island governing documents including, but not limited to. the Nettles
Procedures Governing Contractor and building activity on Nettles Island, and if required
e us with a copy of the permit before commencing.
Fisher or Judy Bellavance
eetural Committee Chair
: Laura Jones, LOAM, File
I&
?ase be advised that Architectural Committee assumes no responsibility for the structural
?quacy, capacity orsafetyfeatures ofthe proposed construction, alteration or addition; orfor
formance, workmanship or quality of work of any contractor or of the completed alteration or
cription and shall not be relied upon as an approval or warranty regarding engineering and
ecctural design, building or zoning code compliance, feasibility or marketability for any purpose,
compliance with applicable building ordinances, standards, or regulations. By approving the
ins and specifications, neither the Architectural Committee or the members thereof, the
► eiation, the Board, its employees and representatives assumes any liability or responsibility
-refore, or for any defect in any structure constructed therefrom, and said persons further
!cifically exclude from such approval any implied warranty of merchantability and fitness for any